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Procedure: Abdominal Aneurysm Repair

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Total 216 results found since Jan 2013.

Evolution in the Management of Aberrant Subclavian Arteries and Related Kommerell Diverticulum
Conclusions Aberrant subclavian arteries and associated Kommerell diverticulum can be treated with acceptable rates of mortality and morbidity. The evolution toward an endovascular approach did not appear to affect late outcomes, suggesting that the choice of treatment should be based on patient-specific anatomy and associated comorbidities.
Source: The Annals of Thoracic Surgery - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Recent thoraco-abdominal aortic repair outcomes using moderate-to-deep hypothermia combined with targeted reconstruction of the Adamkiewicz artery
CONCLUSIONS Moderate-to-deep hypothermia combined with targeted reconstruction of the AKA provided satisfactory outcomes with thoraco-abdominal aortic repair, particularly for spinal cord protection.
Source: Interactive CardioVascular and Thoracic Surgery - April 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka, H., Minatoya, K., Sasaki, H., Seike, Y., Itonaga, T., Oda, T., Kobayashi, J. Tags: Pericardium Adult Cardiac Source Type: research

Evolution in the Management of Aberrant Subclavian Arteries and Related Kommerell Diverticulum.
CONCLUSIONS: Aberrant subclavian arteries and associated Kommerell diverticulum can be treated with acceptable rates of mortality and morbidity. The evolution toward an endovascular approach did not appear to affect late outcomes, suggesting that the choice of treatment should be based on patient-specific anatomy and associated comorbidities. PMID: 25912743 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: van Bogerijen GH, Patel HJ, Eliason JL, Criado E, Williams DM, Knepper J, Yang B, Deeb GM Tags: Ann Thorac Surg Source Type: research

A randomized controlled trial on the effects of goal directed therapy on the inflammatory response open abdominal aortic aneurysm repair
IntroductionGoal directed therapy (GDT) has been shown in numerous studies to decrease perioperative morbidity and morality. The mechanism of benefit of GDT however, has not been clearly elucidated. Targeted resuscitation of the vascular endothelium with GDT might alter the postoperative inflammatory response and be responsible for the decreased complications with this therapy. Methods: This trial was registered at ClinicalTrials.gov as NCT01681251. Forty patients undergoing elective open repair of their abdominal aortic aneurysm (AAA), 18 years of age and older were randomized to an interventional arm with GDT targeting s...
Source: Critical Care - June 10, 2015 Category: Intensive Care Authors: Duane FunkKent HayGlassJoshua KoulackGreg HardingApril BoydRyan Brinkman Source Type: research

Endovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm.
CONCLUSION: TEVAR is safe and effective for treating DTAAs with improved perioperative and long-term outcomes compared with open repair. PMID: 26069110 [PubMed - as supplied by publisher]
Source: Yonsei Medical Journal - June 13, 2015 Category: Universities & Medical Training Authors: Lee HC, Joo HC, Lee SH, Lee S, Chang BC, Yoo KJ, Youn YN Tags: Yonsei Med J Source Type: research

A Quarter Century of Organ Protection in Open Thoracoabdominal Repair
Introduction: Thoracoabdominal aortic aneurysm (TAAA) remains a challenging problem. We sought to examine our experience with thoracic and thoracoabdominal aortic repairs over a 24-year period. Methods: Patient information was collected in a prospective database and analyzed retrospectively. Univariate and multivariable analysis was performed. Results: Between January 1991 and December 2014, we repaired 1896 descending thoracic (DTAA) or TAAA in 1795 patients. Mean age was 64.2 ± 13.8, and 702 (37%) were women. Of 1896 operations, 646 (34.1%) were DTAA, 316 (16.7%) TAAA extent I, 310 (16.4%) TAAA extent II, 187 (9.9%)...
Source: Annals of Surgery - September 19, 2015 Category: Surgery Tags: ASA Papers Source Type: research

Proximal Scallop in Thoracic Endovascular Aortic Aneurysm Repair to Overcome Neck Issues in the Arch.
CONCLUSIONS: Proximal scalloped stent grafts appear to be an effective additional tool for TEVAR of TAA when dealing with short or angulated proximal necks. PMID: 26489732 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - October 17, 2015 Category: Surgery Authors: Ben Abdallah I, El Batti S, Sapoval M, Abou Rjeili M, Fabiani JN, Julia P, Alsac JM Tags: Eur J Vasc Endovasc Surg Source Type: research

Intervention Associated Acute Kidney Injury and Long-Term Cardiovascular Outcomes
Background: Acute kidney injury (AKI) has been associated with all-cause short- and long-term mortality. However, its association with cardiovascular (CV) events remains unclear. We sought to investigate this in patients undergoing open (OAR) or endovascular (EVAR) abdominal aortic aneurysm repair, as they are likely to develop both AKI and CV morbidity. A meta-analysis was subsequently performed to confirm this in other CV-interventions. Methods: AKI-incidence was assessed in a multicentre-cohort of 1,068 patients undergoing EVAR (947 individuals) or OAR electively using the ‘Acute Kidney Injury Network' criteria. A com...
Source: American Journal of Nephrology - October 24, 2015 Category: Neurology Source Type: research

Intervention Associated Acute Kidney Injury and Long-Term Cardiovascular Outcomes.
CONCLUSION: AKI is associated with long-term CV events after surgery or endovascular intervention. PMID: 26495853 [PubMed - as supplied by publisher]
Source: American Journal of Nephrology - October 24, 2015 Category: Urology & Nephrology Authors: Saratzis A, Harrison S, Barratt J, Sayers RD, Sarafidis PA, Bown MJ Tags: Am J Nephrol Source Type: research

Subsequent Results for Arch Aneurysm Repair with Inner Branched Endografts.
CONCLUSIONS: The early outcomes associated with this technology are favorable. Branched endografting of aortic arch aneurysms should be considered in patients unfit for open surgery. PMID: 26818022 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - January 23, 2016 Category: Surgery Authors: Spear R, Haulon S, Ohki T, Tsilimparis N, Kanaoka Y, Milne CP, Debus S, Takizawa R, Kölbel T Tags: Eur J Vasc Endovasc Surg Source Type: research

Endovascular repair or open repair for ruptured abdominal aortic aneurysm: a Cochrane systematic review
Conclusions Outcomes between eEVAR and open repair, specifically 30-day mortality, are similar. However, further high-quality trials are required, as the paucity of data currently limits the conclusions.
Source: BMJ Open - February 12, 2016 Category: Journals (General) Authors: Badger, S. A., Harkin, D. W., Blair, P. H., Ellis, P. K., Kee, F., Forster, R. Tags: Open access, Cardiovascular medicine, Evidence based practice, Surgery Research Source Type: research

To intervene or not? A man with multidrug-resistant hypertension, endovascular abdominal aneurysm repair, bilateral renal artery stenosis and end-stage renal disease salvaged with renal artery stenting.
We report the case of a 69-year-old man with uncontrolled multidrug-resistant secondary hypertension following a 10 year history of endovascular abdominal aortic aneurysm repair, with suprarenal fixation and concurrent angioplasty with stenting of the left renal artery for atherosclerotic renal disease, and progressive chronic kidney disease. Renal scintigraphy revealed complete loss of the right kidney's and severe reduction of the left kidney's perfusion and function. Following recent evidence and consultation with vascular surgeons regarding the technical difficulties of any procedure, escalation of antihypertensive tre...
Source: Blood Pressure - February 14, 2016 Category: Hematology Tags: Blood Press Source Type: research

Early Experiences with the Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm.
CONCLUSION: TEVAR for rDTAA was associated with favorable early mortality and morbidity outcomes. However, early reintervention should be considered if persistent endoleak occurs. PMID: 27064672 [PubMed - as supplied by publisher]
Source: Korean Journal of Thoracic and Cardiovascular Surgery - April 12, 2016 Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research

Treatment of Hypertension in Coarctation of the Aorta
Opinion statement The treatment of hypertension in coarctation of the aorta (CoA) is ideally managed by early surgical or transcatheter repair to reduce the risk of irreversible aortopathy and refractory hypertension, in addition to other associated sequelae including premature coronary artery disease; stroke; aortic aneurysm, dissection, and rupture; infective endocarditis; and heart failure. The choice of surgical or transcatheter repair is dependent on individual patient considerations. Medical therapy for hypertension due to CoA parallels treatment of essential hypertension with beta blockers, angiotensin-con...
Source: Current Treatment Options in Cardiovascular Medicine - April 18, 2016 Category: Cardiology Source Type: research

Neuromonitoring Using Motor and Somatosensory Evoked Potentials in Aortic Surgery
Conclusions(1) Preservation of signals or return of signals is an excellent prognostic indicator for spinal cord function. (2) Intraoperative modifications in direct response to the signal change may have averted permanent paralysis in the patients with signal loss without neurologic injury. We have found MEP and SSEP neuromonitoring to be instrumental in the prevention of paraplegia.
Source: Journal of Cardiac Surgery - April 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Lucy Y. Liu, Brooke Callahan, Sven Peterss, Julia Dumfarth, Maryann Tranquilli, Bulat A. Ziganshin, John A. Elefteriades Tags: Original Article Source Type: research